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Perio Final > Peri-implant Disease > Flashcards

Peri-implant Disease Flashcards

1
Q

How many 20-49 year olds are missing 1+ tooth?

not including 3rd molars

A

69%

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2
Q

How many 20-49 year olds are missing 1+ tooth?

not including 3rd molars

A

69%

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3
Q

90% of people have ______ teeth remaining

A

24.9

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4
Q

How many teeth are needed for optimal function?

A

≥ 21

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5
Q

If a patient says they want an implant, what should you look at?

A

Perio disease - can’t placed if there’s perio disease
Bone space (need 1mm bone collar)
Cortical anatomy

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6
Q

If you have 6mm B-L distance, what is the largest implant you can place?

A

4mm
Need 1mm bone collar B-L
With this size, you have to make sure you have 8mm M-D width, so that you can have 2mm from adjacent teeth

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7
Q

What are stable/successful implant guidlines

A

Implant is immobile

No peri-implant radiolucency.pain/infection/neuropathy/paresthesia

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8
Q

How much bone loss is acceptable with an implant after the 1st functional year

A

0.2mm

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9
Q

Most implant bone loss is what type of bone loss?

A

Vertical

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10
Q

T/F - NEVER do an FPD that goes form implant to tooth

A

True

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11
Q

What are the two types of classifications of implant disease?

A

Biological classifications

Clinical classificaitons

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12
Q

Biological classifications of implant disease

A

Peri-implantitis (periodontitis-like)

Peri-implant mucositis (gingivitis-like)

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13
Q

Clinical classifications of implant disease

A

Ailing implant
Failing implant
Failed implant

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14
Q

Ailing implat

A

Mucositis-like
Treatable
Soft-tissue inflammation only
No bone loss

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15
Q

Failed implant

A

Heavy implantitis-like
Not treatable
Significant bone loss
Mobile

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16
Q

What is the primary etiologic factor for implant disease

A

Bacterial plaque (gram-)

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17
Q

What is the primary etiologic factor for implant disease

A

Bacterial plaque (gram-) + occlusal trauma

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18
Q

90% of people have ______ teeth remaining

A

24.9

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19
Q

How many teeth are needed for optimal function?

A

≥ 21

20
Q

If a patient says they want an implant, what should you look at?

A

Perio disease - can’t placed if there’s perio disease
Bone space (need 1mm bone collar)
Cortical anatomy

21
Q

If you have 6mm B-L distance, what is the largest implant you can place?

A

4mm
Need 1mm bone collar B-L
With this size, you have to make sure you have 8mm M-D width, so that you can have 2mm from adjacent teeth

22
Q

What are stable/successful implant guidlines

A

Implant is immobile

No peri-implant radiolucency.pain/infection/neuropathy/paresthesia

23
Q

How much bone loss is acceptable with an implant after the 1st functional year

A
24
Q

Most implant bone loss is what type of bone loss?

A

Vertical

25
Q

T/F - NEVER do an FPD that goes form implant to tooth

A

True

26
Q

What are the two types of classifications of implant disease?

A

Biological classifications

Clinical classificaitons

27
Q

Class 3 implantitis (Teacup)

A

Moderate to advanced horiontal bone loss with broad, circular bony defects

28
Q

Clinical classifications of implant disease

A

Ailing implant
Failing implant
Failed implant

29
Q

Ailing implat

A

Mucositis-like
Treatable
Soft-tissue inflammation only
No bone loss

30
Q

Failing implant

A

Implantitis-like
Treatable
Some bone loss
Not mobile

31
Q

Failed implant

A

Heavy implantitis-like
Not treatable
Mobile

32
Q

What is the primary etiologic factor for implant disease

A

Bacterial plaque (gram-) + occlusal trauma

33
Q

What is the secondary etiologic factor for implant disease?

A

Occlusal trauma

34
Q

What is the difference between mucositis and gingivitis?

A

Pus and more bleeding

35
Q

T/F - Peri-implantitis is more aggressive than periodontitis?

A

True

36
Q

What is the difference in microbiota profile between natural teeth and implants? Why is this important?

A

Overlapping diversity common in both health and disease in natural teeth
Implants have different profiles in health and disease
Implant microbiota is different than natural teeth - need different treatment

37
Q

What makes implantitis unique from periodontitis?

A

Lots of neutrophils around implant

There’s direct contact of plaque - no buffer zone like in natural teeth

38
Q

What is the incidence of peri-implant disease?

A

5-27% of failing and failed implants have been in function for 5-10 years - up to 10% have implantitis

39
Q

Early implant failure

A

Primary failure to osseointegrate - have to remove the implant and try again

40
Q

Late implant failure

A

Implantitis

Can keep it, but we need to do a graft

41
Q

Class 1 Implantitis

A

Slight horizontal bone loss with minimal peri-implant defects

42
Q

Class 2 Implantitis

A

Moderate horizontal bone loss with isolated vertical defects

43
Q

Class 3 implantitis (Teacup)

A

Moderate to advanced horiontal bone loss with broad, circular bony defects

44
Q

Class 4 Implantitis

A

Advanced horizontal bone loss with broad, circumferential vertical defects, as well as the loss of oral and/or vestibular bony wall

45
Q

What is the best treatment for peri-implant disease?

A

Prevention

Perio Final (7 decks)

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